【正文】 是護(hù)理專業(yè)學(xué)生的主干課程和重點(diǎn)課程。 本書在編寫、審定過程中，得到重慶醫(yī)科大學(xué)護(hù)理學(xué)院領(lǐng)導(dǎo)和專家們的熱情指導(dǎo)和支持，在此表示衷心的感謝！限于水平有限，書中難免會有一些疏漏和不成熟之處，敬請批評指正。（注意甲緣、指縫、腕橫紋、肘窩處） 2．第一遍刷完后，用流 動水沖掉洗手液，手指朝上肘朝下，水由前臂到肘部流下，手在高位，以免水逆流。 4．刷手時間 10 分鐘，共刷 3 遍。 2．其他依據(jù)：心音消失，血壓測不到，嘆息樣呼吸，隨即停止，瞳孔散大，紫紺。 2．復(fù)蘇成功后，及時給予病人家屬心理支持，做好必要的解釋工作。 move the cart to bed Lower the bed end 被套、帶套床刷 Stand on the lfet and assit patient to lie on back 平臥薪嘗臥薪嘗 Fold inward the badding to a shape S Place a clean cover on the quilt Insert the badding into the clean cover Neaten the quilt into S。 brush the plastic sheet Lift the plastic sheet on the patient。 tuck the unwanted part under the mattress Take off the soiled midsheet。 insert Fix apparatus on after being drops Regulate drops。 check apparatus Join apparatuses。 check the bed sheets Turn over and clean mattress and pad。 tuck the two ends under the pad Slip on cover to the two ends。 tuck the unwanted part under pad Bespread the other plastic sheet and midsheet over bed head。 tie up Pull down the quilt 15cm。 smooth the bed sheets。 expose the anal。？ pull out the ananl tube Place the tray on the table and the evacuation container on the chair Check。 bespread the rubber sheet and napkin 25 Intravenous Phlebotomizing Injection tray, syringe, hypodermic needle, tourniquet, bolster, blood container Take articles to bed Prepare to draw blood Draw blood Tidy up after the operation Prepare articles Check ？ interpret 平臥薪嘗臥薪嘗 Place the bolster, ？ tourniquet and choose the vein in place Get and check the syringe and needle Fasten the tourniquet。 draw some blood in according with specific purpose Require patient to unclench the fist。 scrub the lips Scrub the teeth from outside and inside, the inside of the cheek, gum lime in small circular motions The palate, the top and undersurface of the toungue Rinse with mouthwash。 place the kideybasin beside the corner of mouth Take away the kidneybasin。 ? roll up sleeves over the elbows Tie the girdle into slipnot。 hang up hands。 align。 put on size 6 needle Sterilize the bottle lid。 tighten the skin Insert the needle with a 5 oblique Finishing prepararion for the 1ml skin test solution。 interpret。 dispose the soiled matters, immerse the disposable syringe and needle Inject the NS into the penicillin bottle。 break the ampule neck Examine the syringe and the needle Check。 insert vertically Inject gradually if no blood reflux Press slightly with dry swab。 check again Smooth the bed sheets Dispose the soiled matters Hold on the syringe Tidy up after operation 30 Hypodermic Injection Inject In the tray: injection card, drugs, 2ml syringe and needle, antiseptic solution, cotton swab, kidneybasin Prepare to draw drug solution Draw in drug solution Prepare to inject Prepare articles Check the doctor’s instruction。 prepare the right position Choose the injection spot。 pull out the needle。 wash dirt and grease off hands, forarms, elbowls and foreparts of the upperarms with soap 1. Wet sterile brush with hand sanitizer。 keep the hands overhanging, not droop down。 pour out the solution into the bowel Cover the bottle in sterile way。 unfold Articles for cleaning: middle size tray, kidneybasin, pen, writing paper Check and untie the sterile package Unpack。 fold downward once the right and left edges。 cover the quilt on patient。 unpack the sterile package Put on gloves。 put gloves or fingertips on left hand Scrub with sterile cotton ball the clitorils, labia majora, labia minora, ureteral orifice, anal Put the soiled cotton ball in the kidneybasin Take away the perforated napkin。 document。 pression should be even and the hands stick to the chest 2. When the victim ing back, offer prompt psychological support and interpretation if needed 。 keep the middle part sterile urine as sample Pull out the ureter to put in the basin 34 CPR Nursing Process in Emergency I. Assessment 1. Major evidence: sudden loss of consciousness and aortic pulsation 2. Other evidences: no heart tone, unmeasurable BP, sighlike breathing and no breathing soon, mydriasis, cyanosis II. Procedure: see the appendix III. Evaluation 1. Effective: tangible aortic pulsation, autonomous respiration, consciouness ing back, pupil constracting and responding to light 2. Noneffective: intangible aortic pulsation, dialated pupil, no autonomous respiration IV. Instruction 1. Action should be rapid and precise。 take away the tray, rubber sheet and napkin Assist to pull up trousers。 lubricate the urethra Forcep an ureter。 separate the legs Pull down the offside trouser。 close the windown and door。 pack up as it was。 unpack。 wash hands 被套、帶套床刷 Place the bowel in the tray with hand supporting the bowel base Check the bottle label。 hands hanger over the elbow so as to avoid water flow from the arms to hands 3. Brush hands another twice in the same way。 observe。 form a 3040 bevel between the syringe and the skin Insert the needle。 sterilize the ampule or the bottle lid Break the ampule neck Examine the syringe and the needle C